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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MINCI SEKOU MOODY DR.
NPI 1083378343
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since October 23, 2021PECOS Enrolled
4425 S CENTRAL AVE, LOS ANGELES, CA 90011(323) 908-4200(323) 432-4877 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2026, Jul 16, 2024, Aug 3, 2022 and 1 more (4 updates tracked since 2021).

About Minci Sekou Moody Dr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINCI SEKOU MOODY DR. (NPI 1083378343) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95020547) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083378343
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMINCI SEKOU MOODYCredential: DR.
Location Address4425 S CENTRAL AVELos Angeles, CA 90011-3629
Mailing Address4425 S Central AveLos Angeles, CA 90011-3629 · (323) 908-4200 · Fax (323) 432-4877
Phone(323) 908-4200
Fax(323) 432-4877
Sole ProprietorYes
Enumeration DateOctober 23, 2021
Last NPPES UpdateJuly 21, 20264 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1083378343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95020547
Also ListedRegistered Nurse · Obstetric, InpatientTaxonomy 163WX0003X · License 713445 (CA)
4425 S CENTRAL AVE, Los Angeles, CA 90011
Open in Google Maps ↗

Other Names 1

Former Name (1)Minci Sekou Stenson

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minci Sekou Moody Dr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYANNE DAISY DUARTE FNP-BC
Nurse Practitioner (Family)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 696-7946
RUBEN GARCIA DE ALBA PA-C
Physician Assistant
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
RACHEL OCAMPO
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
GILLIAN BIELER LCSW
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
ERIKA B YANEZ FNP-C
Nurse Practitioner (Family)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
MR. JAIME BOTERO LCSW
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
COLLEEN CROSBY
Case Manager/Care Coordinator
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4290
MS. CHRISTINE SALAZAR ADAME
Community Health Worker
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (213) 926-4277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minci Moody's NPI number?

The NPI number for Minci Moody is 1083378343. It was assigned to this individual provider in the NPPES registry on October 23, 2021. The provider is also known as Minci Sekou Stenson.

Where is Minci Moody located?

Minci Moody practices at 4425 S Central Ave, Los Angeles, CA 90011. The listed phone number is (323) 908-4200.

What is Minci Moody's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Minci Moody enrolled in Medicare?

Yes. Minci Moody is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Minci Moody was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.